FORM 1023-EZ for COMUNIDAD DE RAICES

Field Data
EIN 82-2128815
Case Number EO-2017236-000156
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMUNIDAD DE RAICES
Organization’s Mailing Address 321 MAGNOLIA LANE
City DALEVILLE
State VA
ZIP 24083
Accounting period End 12
Primary contact name AUTUMN VISSER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AUTUMN VISSER
DIRECTOR
10 S JEFFERSON ST SUITE 1400
ROANOKE VA 24011

Officer/Director/Trustee Two

RACHEL BRAY
EXECUTIVE DIRECTOR
321 MAGNOLIA AVE
DALEVILLE VA 24083

Officer/Director/Trustee Three

GEORGINA GUERRERO
DIRECTOR
1412 TRAVES HEIGHTS BLVD
AUSTIN TX 78704

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2017
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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